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高原神经重症患者监测管理专家共识

2022-01-07 西藏自治区人民医院重症医学科 协和医学杂志

神经重症是重症医学的重要分支,其损伤机制复杂多样、病理生理瞬息万变,不同的病理生理变化决定了不同的脑损伤程度。在特殊的高原环境下,神经重症发病率更高,发病年龄年轻化,病情进展速度快,损伤程度严重。

中文标题:

高原神经重症患者监测管理专家共识

发布日期:

2022-01-07

简要介绍:

神经重症是重症医学的重要分支,其损伤机制复杂多样、病理生理瞬息万变,不同的病理生理变化决定了不同的脑损伤程度。在特殊的高原环境下,神经重症发病率更高,发病年龄年轻化,病情进展速度快,损伤程度严重。为规范高原神经重症患者的诊疗,改进监测管理流程,预防不可逆性脑损伤,改善神经系统预后,由中国冷静治疗研究组、中国重症超声研究组和西藏重症医学质控中心组织专家,根据国内外文献及多年的临床实践经验,组织重症医学、神经外科等领域专家在充分讨论和沟通的基础上制定了“高原神经重症患者监测管理专家共识”,以提高临床医师对高原神经重症患者的监测管理水平。 

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1194362, encodeId=4f3511943621f, content=谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/04/14/72ac0b80f0a63c1ffa90ede8635b36da.jpg, createdBy=7dc12461402, createdName=junebenf, createdTime=Thu Feb 17 10:12:25 CST 2022, time=2022-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1193345, encodeId=a30a11933452e, content=如果免费更好了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2b82397018, createdName=12346c4dm64暂无昵称, createdTime=Mon Feb 14 16:51:14 CST 2022, time=2022-02-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1193104, encodeId=85e7119310426, content=学习了,非常好。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=89ae6481716, createdName=ms3000000637975859, createdTime=Sun Feb 13 21:34:17 CST 2022, time=2022-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192841, encodeId=0fbd1192841df, content=高原的环境特殊, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2b82397018, createdName=12346c4dm64暂无昵称, createdTime=Sun Feb 13 00:05:35 CST 2022, time=2022-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192687, encodeId=a345119268eb7, content=好文!推荐, beContent=null, objectType=guider, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210528/a18cf35bdfab43d496bab2a120649fae/3b4d7ff9e9364c3bae15229ee94a1b36.jpg, createdBy=9ea25397643, createdName=妙医生, createdTime=Sat Feb 12 15:55:34 CST 2022, time=2022-02-12, status=1, ipAttribution=)]
    2022-02-17 junebenf

    谢谢

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1194362, encodeId=4f3511943621f, content=谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/04/14/72ac0b80f0a63c1ffa90ede8635b36da.jpg, createdBy=7dc12461402, createdName=junebenf, createdTime=Thu Feb 17 10:12:25 CST 2022, time=2022-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1193345, encodeId=a30a11933452e, content=如果免费更好了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2b82397018, createdName=12346c4dm64暂无昵称, createdTime=Mon Feb 14 16:51:14 CST 2022, time=2022-02-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1193104, encodeId=85e7119310426, content=学习了,非常好。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=89ae6481716, createdName=ms3000000637975859, createdTime=Sun Feb 13 21:34:17 CST 2022, time=2022-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192841, encodeId=0fbd1192841df, content=高原的环境特殊, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2b82397018, createdName=12346c4dm64暂无昵称, createdTime=Sun Feb 13 00:05:35 CST 2022, time=2022-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192687, encodeId=a345119268eb7, content=好文!推荐, beContent=null, objectType=guider, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210528/a18cf35bdfab43d496bab2a120649fae/3b4d7ff9e9364c3bae15229ee94a1b36.jpg, createdBy=9ea25397643, createdName=妙医生, createdTime=Sat Feb 12 15:55:34 CST 2022, time=2022-02-12, status=1, ipAttribution=)]
    2022-02-14 12346c4dm64暂无昵称

    如果免费更好了

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1194362, encodeId=4f3511943621f, content=谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/04/14/72ac0b80f0a63c1ffa90ede8635b36da.jpg, createdBy=7dc12461402, createdName=junebenf, createdTime=Thu Feb 17 10:12:25 CST 2022, time=2022-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1193345, encodeId=a30a11933452e, content=如果免费更好了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2b82397018, createdName=12346c4dm64暂无昵称, createdTime=Mon Feb 14 16:51:14 CST 2022, time=2022-02-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1193104, encodeId=85e7119310426, content=学习了,非常好。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=89ae6481716, createdName=ms3000000637975859, createdTime=Sun Feb 13 21:34:17 CST 2022, time=2022-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192841, encodeId=0fbd1192841df, content=高原的环境特殊, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2b82397018, createdName=12346c4dm64暂无昵称, createdTime=Sun Feb 13 00:05:35 CST 2022, time=2022-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192687, encodeId=a345119268eb7, content=好文!推荐, beContent=null, objectType=guider, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210528/a18cf35bdfab43d496bab2a120649fae/3b4d7ff9e9364c3bae15229ee94a1b36.jpg, createdBy=9ea25397643, createdName=妙医生, createdTime=Sat Feb 12 15:55:34 CST 2022, time=2022-02-12, status=1, ipAttribution=)]
    2022-02-13 ms3000000637975859

    学习了,非常好。

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1194362, encodeId=4f3511943621f, content=谢谢, beContent=null, objectType=guider, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2019/04/14/72ac0b80f0a63c1ffa90ede8635b36da.jpg, createdBy=7dc12461402, createdName=junebenf, createdTime=Thu Feb 17 10:12:25 CST 2022, time=2022-02-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1193345, encodeId=a30a11933452e, content=如果免费更好了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2b82397018, createdName=12346c4dm64暂无昵称, createdTime=Mon Feb 14 16:51:14 CST 2022, time=2022-02-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1193104, encodeId=85e7119310426, content=学习了,非常好。, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=89ae6481716, createdName=ms3000000637975859, createdTime=Sun Feb 13 21:34:17 CST 2022, time=2022-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192841, encodeId=0fbd1192841df, content=高原的环境特殊, beContent=null, objectType=guider, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b2b82397018, createdName=12346c4dm64暂无昵称, createdTime=Sun Feb 13 00:05:35 CST 2022, time=2022-02-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1192687, encodeId=a345119268eb7, content=好文!推荐, beContent=null, objectType=guider, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210528/a18cf35bdfab43d496bab2a120649fae/3b4d7ff9e9364c3bae15229ee94a1b36.jpg, createdBy=9ea25397643, createdName=妙医生, createdTime=Sat Feb 12 15:55:34 CST 2022, time=2022-02-12, status=1, ipAttribution=)]
    2022-02-13 12346c4dm64暂无昵称

    高原的环境特殊

    0

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    2022-02-12 妙医生

    好文!推荐

    0

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